ELISA M SANTOS MD
Controlled Substance Registration for Practitioner


Address: 6 Transverse Rd, Garden City, NY 11530

ELISA M SANTOS MD (Credential# 459817) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 5, 2007. The license expiration date date is February 28, 2008. The license status is INACTIVE.

Business Overview

ELISA M SANTOS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041013. The credential type is controlled substance registration for practitioner. The effective date is January 5, 2007. The expiration date is February 28, 2008. The business address is 6 Transverse Rd, Garden City, NY 11530. The current status is inactive.

Basic Information

Licensee Name ELISA M SANTOS MD
Credential ID 459817
Credential Number CSP.0041013
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6 Transverse Rd
Garden City
NY 11530
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-01-05
Effective Date 2007-01-05
Expiration Date 2008-02-28
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
562551 1.044969 Physician/Surgeon 2006-12-13 2006-12-13 - 2007-12-31 INACTIVE

Office Location

Street Address 6 TRANSVERSE RD
City GARDEN CITY
State NY
Zip Code 11530

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Competitor

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City GARDEN CITY
Zip Code 11530
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GARDEN CITY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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